Johnna Christeen Devin, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.005510 Issued in IL

Practice address

306 W Mill St
Carbondale, IL 62901-2727

Phone

(618) 529-3060

Fax

(618) 457-5372

NPI assigned

Nov 15, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Johnna Christeen Upton Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunshine Gardens Nursing & Rehab LLC

  • Skilled Nursing Facility
  • Marion, IL
  • NPI 1629669916
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1982948964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 BOSKYDELL RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629037624",
            "telephone_number": "618-351-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MILL ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012727",
            "telephone_number": "618-529-3060",
            "fax_number": "618-457-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIN",
        "first_name": "JOHNNA",
        "middle_name": "CHRISTEEN",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.005510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHNNA",
            "last_name": "UPTON",
            "middle_name": "CHRISTEEN",
            "prefix": "MRS.",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer L Deloach, LCSW
• Dana Marie Delong, M.A., L.C.P.C.
• Matthew Eric Denis, PH.D.
• Dental Professionals of Illinois, P.C.
• Mike Depalma, BS
• Amy Dial
• Lisa Dibiase, SLP
• Ashley Nicole Dickey, COTA/L
• Laurian Dicks Jr., M.S. CCC-SLP
• Erika Diericx

• Speech-Language Pathologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.